JULIE BALDOCK TIMBERLAKE LCSW NPI 1831521095

NPI Information

  • NPI: 1831521095
  • Provider Name: JULIE BALDOCK TIMBERLAKE, LCSW
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 21 WALNUT BLVD
    SUITES 1-3
    PETERSBURG, VA
    ZIP 23805
  • Phone: (804) 767-3470

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NPI Details

Julie Baldock Timberlake, LCSW is a mental health counselor in Petersburg, VA. Julie Baldock Timberlake, LCSW NPI is 1831521095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 WALNUT BLVD
SUITES 1-3
PETERSBURG, VA
ZIP 23805-109
Phone: (804) 767-3470
Fax: (804) 490-0150

The enumeration date for this NPI number is 7/30/2013 and was last updated on 7/30/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health0904006910VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10904006910OTHERVIRGINIALICENSED CLINICAL SOCIAL WORKER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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